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For the following Health Plans you can not use the SSN as a form of the member Authentication process.
What is NHHF, CA Health & Wellness and Celticare.
100
You will always use this system during the authentication process.
What is CRM?
100
When working with an interpretive services, its always good practice to:
Speak directly to the provider/member rather than the interpreter.
100
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Within Effective Communication; what type of listening encompasses: saving time, relief of negative emotions and creates an environment where everyone feels safe?
What is Effective listening?
100
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A rejected claim is defined as___________:
What is an unclean claim?
200
This Health Plan does not cover circumcisions
What is WA Coordinated Care?
200
What system do you use to update a members commercial insurance coverage?
What is CRM?
200
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Dental is contracted through this Vendor in WI MHS?
DentaQuest contracts with Providers in these counties:(Milwaukee, Kenosha, Racine and Waukesha)
200
When a variety of responses help, what type of listening skill is needed?
what is Provide Feed-back?
200
When a claim is found with invalid or inappropriate information the claim does what?
What is a denial or denied claim?
300
This Health Plan was contracted January 18, 2012, and its Headquarters is in Tacoma.
What WA Coordinated Care?
300
We use this system to check if a provider is listed as a Non Par provider.
What is Portico?
300
HIPPA verification requires that you verify ____ pieces of indentifying information.
What is (3) three pieces?
300
Disciplining yourself, and blocking out distraction is what form of listening?
What is Concentration
300
For a claim to be paid, the DOS must fall within the:
What is the Effective Date of the Benefit?
400
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Medical Supplies for WI MHS are covered by this vendor?